Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Summitstone Health Partners (NPI 1447714357)

Field	Value
Entity Type	Organization
Organization	Summitstone Health Partners
Address	4102 S Timberline Rd
City	Fort Collins
State	CO
ZIP	80525
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 24, 2019

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	28,960	$50	$1.3M
H2011	Crisis intervention service, per 15 minutes	7,370	$150	$1.1M
H2036	Alcohol and/or other drug treatment program, per diem	2,280	$320	$734.8K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2,640	$280	$730.4K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	270	$2,220	$608K
H0033	Oral medication administration, direct observation	45,310	$10	$407.8K
J2315	Injection, naltrexone, depot form, 1 mg	210	$1,260	$264K
H0038	Self‑help/peer services, per 15 minutes	5,730	$40	$223.5K
T1017	Targeted case management, each 15 minutes	11,250	$20	$202.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10,570	$20	$179.7K

Showing 1–10 of 57

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Summitstone Health Partners — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	98	280	2,330	$210	$4.8M
H2036	Alcohol and/or other drug treatment program, per diem	16	40	1,910	$300	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	83	90	1,540	$130	$1M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	8	10	330	$860	$1M
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	2	10	50	$2,070	$870.9K
H0039	Assertive community treatment, face-to-face, per 15 minutes	13	20	1,090	$160	$521.1K
J2315	Injection, naltrexone, depot form, 1 mg	10	30	100	$1,080	$511.1K
T1017	Targeted case management, each 15 minutes	39	310	640	$80	$494.3K
H2014	Skills training and development, per 15 minutes	72	140	870	$150	$457.7K
S5151	Unskilled respite care, not hospice; per diem	33	40	640	$130	$453.2K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Summitstone Health Partners, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Clinic LLC	LA	General Practice Physician	$0	$152.6M
Summitstone Health Partners	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M
Charles Howard	CO	Clinical Psychologist	$4.6K	$0

Nearby Providers

Other providers in the same ZIP code as Summitstone Health Partners, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$40.1M
Foothills Gateway Inc.	CO	In Home Supportive Care Agency	$0	$34.6M
Rocky Mountain Clinics LLC	CO	Clinical Medical Laboratory	$0	$13.1M
Foothills Gateway, Inc.	CO	Case Manager/Care Coordinator	$0	$10.8M
Svc Dental Group, LLC	CO	Pediatric Dentistry	$0	$8.4M
The Residence At Oakridge, LLC	CO	Assisted Living Facility	$0	$6.9M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Reyes Corporation	CO	Community/Behavioral Health Agency	$0	$5.2M
Highpointe Services	CO	Developmentally Disabled Services Day Training Agency	$0	$5.1M
Alexander Home Healthcare LLC	CO	In Home Supportive Care Agency	$0	$3.8M

Summitstone Health Partners — Billing Profile & Reimbursement Data

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Summitstone Health Partners — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References